Individual provider Active NPI

Eric Dean Miller, L.AC

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1821393224
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9235 Issued in CA
Practice address
900 Wilshire Blvd Ste 315
Santa Monica, CA 90401-1883
Phone
(310) 913-1317
Fax
(310) 434-2424
NPI assigned
Jan 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9235 CA Primary
Nutritionist 133N00000X AC 9235 CA

Addresses

Primary practice location

900 Wilshire Blvd Ste 315
Santa Monica, CA 90401-1883

Mailing address

900 Wilshire Blvd Ste 315
Santa Monica, CA 90401-1883
Phone (310) 913-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 9235CAMDNutritionist
AC9235CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1821393224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD STE 315",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011883",
            "telephone_number": "310-913-1317",
            "fax_number": "310-434-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD STE 315",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011883",
            "telephone_number": "310-913-1317",
            "fax_number": "310-434-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIC",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-14",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9235",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "AC 9235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.